How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $346.74 Median $691.83 Typical High $1,862.09 | Facility | None | $346.74 | $691.83 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $371.54 Typical High $616.60 | Professional | None (both parts) | $346.74 | $371.54 | $616.60 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,096.48 Typical High $1,096.48 | Professional | None (both parts) | $630.96 | $1,096.48 | $1,096.48 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $194.98 Median $489.78 Typical High $870.96 | Facility | None | $194.98 | $489.78 | $870.96 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $467.74 Median $2,089.30 Typical High $2,818.38 | Professional | None (both parts) | $467.74 | $2,089.30 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $562.34 Typical High $1,096.48 | Facility | None | $524.81 | $562.34 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $549.54 Typical High $1,258.93 | Professional | None (both parts) | $354.81 | $549.54 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $173.78 Median $501.19 Typical High $912.01 | Professional | None (both parts) | $173.78 | $501.19 | $912.01 |
Molina Setting Professional Modifier None (both parts) Typical Low $91.20 Median $281.84 Typical High $630.96 | Professional | None (both parts) | $91.20 | $281.84 | $630.96 |
Pacific Source Setting Facility Modifier None Typical Low $204.17 Median $446.68 Typical High $707.95 | Facility | None | $204.17 | $446.68 | $707.95 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $190.55 Median $245.47 Typical High $602.56 | Professional | None (both parts) | $190.55 | $245.47 | $602.56 |
Premera BCBS Setting Facility Modifier None Typical Low $371.54 Median $457.09 Typical High $457.09 | Facility | None | $371.54 | $457.09 | $457.09 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $457.09 | $457.09 | $457.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $371.54 Median $524.81 Typical High $1,047.13 | Facility | None | $371.54 | $524.81 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $467.74 Median $645.65 Typical High $933.25 | Professional | None (both parts) | $467.74 | $645.65 | $933.25 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $2,089.30 | Facility | None | $1,023.29 | $1,348.96 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $416.87 Typical High $977.24 | Professional | None (both parts) | $309.03 | $416.87 | $977.24 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $338.84 Median $457.09 Typical High $724.44 | Professional | None (both parts) | $338.84 | $457.09 | $724.44 |
15 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $128.82 Typical High $239.88 | Professional | 26 · Professional part | $104.71 | $128.82 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $234.42 Typical High $380.19 | Professional | TC · Technical part | $218.78 | $234.42 | $380.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $199.53 Typical High $213.80 | Professional | 26 · Professional part | $186.21 | $199.53 | $213.80 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $707.95 Typical High $912.01 | Professional | 26 · Professional part | $154.88 | $707.95 | $912.01 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $1,778.28 Typical High $1,862.09 | Professional | TC · Technical part | $309.03 | $1,778.28 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $154.88 Typical High $371.54 | Professional | 26 · Professional part | $112.20 | $154.88 | $371.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $398.11 Typical High $891.25 | Professional | TC · Technical part | $239.88 | $398.11 | $891.25 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $151.36 | $151.36 | $151.36 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $302.00 | $302.00 | $302.00 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $218.78 Typical High $316.23 | Professional | 26 · Professional part | $154.88 | $218.78 | $316.23 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $426.58 Typical High $616.60 | Professional | TC · Technical part | $309.03 | $426.58 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $120.23 Typical High $309.03 | Professional | 26 · Professional part | $102.33 | $120.23 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $295.12 Typical High $660.69 | Professional | TC · Technical part | $208.93 | $295.12 | $660.69 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $151.36 Typical High $229.09 | Professional | 26 · Professional part | $112.20 | $151.36 | $229.09 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $302.00 Typical High $501.19 | Professional | TC · Technical part | $223.87 | $302.00 | $501.19 |
Where Washington sits
The same service costs 5.1 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Washington· 47th of 51
$316
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.